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ASHOKKUMAR K SHAH M.D.
NPI 1730246380
Psychiatry & Neurology - Psychiatry in Kenosha, WI

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140(262) 654-0487(262) 654-2434 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ashokkumar K Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHOKKUMAR K SHAH M.D. (NPI 1730246380) is an individual psychiatry provider in Kenosha, Wisconsin, licensed in Wisconsin (33324) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (1982).

NPPES Registry Identity

NPI1730246380
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameASHOKKUMAR K SHAHCredential: M.D.
Location Address3734 7TH AVE, SUITE 24Kenosha, WI 53140-5525
Mailing Address3734 7th Ave, Suite 24Kenosha, WI 53140-5525 · (262) 654-0487 · Fax (262) 654-2434
Phone(262) 654-0487
Fax(262) 654-2434
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730246380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 33324
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3734 7TH AVE, Kenosha, WI 53140
Open in Google Maps ↗

Other Identifiers 2

Medicaid31853300WI
Medicare UPINE89939

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashokkumar K Shah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628257763
PECOS Enrollment IDI20110121000615
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ashokkumar Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric & Psychotherapy Clinic L I Newman MD Sc Gen Ptr
1.2 mi
Addiction (Substance Use Disorder)
3601 30TH AVE STE 102
Kenosha, WI 53144
  • Reassigned Medicare billing, Wisconsin enrollment
  • 7 clinicians in this Medicare group
NPI 1932312212 (262) 654-0487
Ascension Medical Group-Southeast Wisconsin Inc
32 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
285 services74 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEILANE U STA ROMANA MDSC
Internal Medicine
3734 7TH AVE, DOMINICAN BUILDING SUITE 15
KENOSHA, WI 53140
Kenosha County (262) 658-3706
KATHRYN ANN AALTO LCSW
Social Worker (Clinical)
3734 7TH AVE, SUITE 12
KENOSHA, WI 53140
Kenosha County (262) 654-9370
MR. MICHAEL A DEFAZIO MSSW LICSW CADC III
Social Worker
3734 7TH AVE, STE 24
KENOSHA, WI 53140
Kenosha County (262) 654-0487
ERNESTO BUENCAMINO MD SC
Internal Medicine
3734 7TH AVE, SUITE 11
KENOSHA, WI 53140
Kenosha County (262) 658-1678
MS. CORRIE RUTH LEE MSW, LCSW, SAC
Counselor (Addiction (Substance Use Disorder))
3734 7TH AVE, SUITE 24
KENOSHA, WI 53140
Kenosha County (262) 654-0487
MARY ANDREA KISHLINE MSW
Counselor
3734 7TH AVE, SUITE 24
KENOSHA, WI 53140
Kenosha County (262) 654-0487
LISA M DEFAZIO M.S.W., L.C.S.W.
Social Worker (Clinical)
3734 7TH AVE, SUITE 24
KENOSHA, WI 53140
Kenosha County (262) 654-0487
VICKI L BARTOW MSW
Social Worker (Clinical)
3734 7TH AVE, SUITE 12
KENOSHA, WI 53140
Kenosha County (262) 654-9370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashokkumar Shah's NPI number?

The NPI number for Ashokkumar Shah is 1730246380. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Ashokkumar Shah located?

Ashokkumar Shah practices at 3734 7th Ave Suite 24, Kenosha, WI 53140. The listed phone number is (262) 654-0487.

What is Ashokkumar Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ashokkumar Shah enrolled in Medicare?

Yes. Ashokkumar Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ashokkumar Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashokkumar Shah reassigns Medicare benefits to 2 organizations: Psychiatric & Psychotherapy Clinic L I Newman MD Sc Gen Ptr (Kenosha, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashokkumar Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashokkumar Shah accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Ashokkumar Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashokkumar Shah affiliated with any hospitals?

According to CMS data, Ashokkumar Shah is affiliated with Froedtert South Inc. and Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Ashokkumar Shah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.